Bowen’s disease in darker-skinned individuals often presents as a slow-growing, reddish-brown or pigmented scaly patch, which can be more difficult to detect due to the skin’s natural pigmentation. This form of early-stage skin cancer, also known as squamous cell carcinoma in situ, can potentially progress to invasive cancer if left untreated. Treatment options include cryotherapy, topical chemotherapy (e.g., 5-fluorouracil), photodynamic therapy, or surgical excision to remove the affected area and prevent further progression.